EAST GEORGIA URGENT CARE
NPI 1003011693
Family Medicine in Statesboro, GA

NPI Status: Active since June 15, 2007

Contact Information

4451 COUNTRY CLUB RD
SUITE 3A
STATESBORO, GA
ZIP 30459
Phone: (912) 764-2273

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  • Organization
  • Family Medicine
  • CLIA Number: 11D1052555
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 06-30-2024

About EAST GEORGIA URGENT CARE

East Georgia Urgent Care is a primary care provider established in Statesboro, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1003011693 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert M Benson Jr. M.d. (Physican)

NPI
1003011693
Provider Name
EAST GEORGIA URGENT CARE
Entity Type
Organization
Location Address
4451 COUNTRY CLUB RD SUITE 3A STATESBORO, GA 30459
Location Phone
(912) 764-2273
Mailing Address
PO BOX 1989 STATESBORO, GA 30459
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2007
Last Update Date
08-22-2020
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A primary care provider (PCP) like East Georgia Urgent Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT M BENSON JR. M.D.

Authorized Official Title
PHYSICAN
Authorized Official Phone
(912) 764-2273

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1052555
Facility Type
Physician Office
Certificate Effective Date
July 01, 2022
Certificate Expiration Date
June 30, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to East Georgia Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011693
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003012618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 6 + 1 + 8 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003011693 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011693, enumerated in the NPI registry as an "organization" on June 15, 2007

The provider is located at 4451 Country Club Rd Suite 3a Statesboro, Ga 30459 and the phone number is (912) 764-2273

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 11D1052555 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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